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腹腔镜结肠癌根治术治疗结肠癌效果观察

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目的:分析结肠癌患者行腹腔镜结肠癌根治术治疗的效果。方法:将2020年1月至2023年12月我院收治的结肠癌患者82例随机分为开腹手术组和腹腔镜手术组,每组41例。开腹手术组患者行开腹结肠癌根治术治疗,腹腔镜手术组患者行腹腔镜结肠癌根治术治疗,比较2组患者的疗效、手术相关指标、手术前后癌胚抗原(CEA)及糖类抗原125(CA125)水平变化、肾上腺素及去甲肾上腺素水平以及术后并发症发生情况。结果:腹腔镜手术组患者疗效高于开腹手术组(P<0。05);腹腔镜手术组患者手术时间、术后首次排气时间、饮食恢复时间及术中出血量均短于或少于开腹手术组(P<0。05);术前2组患者CEA及CA125水平、肾上腺素及去甲肾上腺素水平比较差异无统计学意义(P>0。05),术后2组患者CEA及CA125水平均低于术前,且腹腔镜手术组低于开腹手术组(P<0。05);术后2组患者肾上腺素及去甲肾上腺素水平均高于术前,但腹腔镜手术组低于开腹手术组(P<0。05);腹腔镜手术组患者术后并发症发生率低于开腹手术组(P<0。05)。结论:结肠癌患者行腹腔镜结肠癌根治术治疗效果显著,术后并发症少,创伤小,患者恢复快。
Effect of Laparoscopic Radical Resection for Colon Cancer
Objective To analyze the effect of laparoscopic radical resection of colon cancer in patients with colon cancer.Methods Total 82 patients with colon cancer admitted to our hospital from January 2020 to December 2023 were randomly divided into laparotomy group and laparoscopic surgery group,with 41 cases in each group.The patients in the laparotomy group were treated with laparotomy radical resec-tion of colon cancer,while the patients in the laparoscopic surgery group were treated with laparoscopic radical resection of colon cancer.The efficacy,operation-related indexes,the level changes of carcinoem-bryonic antigen(CEA)and carbohydrate antigen 125(CA125)before and after surgery,the levels of epi-nephrine and norepinephrine,and the occurrence of postoperative complications were compared between the two groups.Results The efficacy of the laparoscopic surgery group was higher than that of the lapa-rotomy group(P<0.05).Operation time,first postoperative exhaust time,diet recovery time and intrao-perative blood loss in the laparoscopic surgery group were shorter or less than those in the laparotomy group(P<0.05).There was no statistical significance in the levels of CEA and CA 125,epinephrine and norepinephrine between the two groups before surgery(P>0.05).The levels of CEA and CA125 in both groups after surgery were lower than those before surgery,which were lower in the laparoscopic surgery group than in the laparotomy group(P<0.05).The levels of epinephrine and norepinephrine in both groups after surgery were higher than those before surgery,which were lower in the laparoscopic surgery group than in the laparotomy group(P<0.05).The incidence of postoperative complications in the lapa-roscopic surgery group was lower than that in the laparotomy group(P<0.05).Conclusion Laparo-scopic radical resection of colon cancer is effective,with less postoperative complications,minor incision and faster recovery.

Colon cancerLaparoscopic radical resection of colon cancerEfficacy observation

任联胜、陈晓博、李庆军

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济源市第二人民医院胸外科(河南济源 459000)

结肠癌 腹腔镜结肠癌根治术 疗效观察

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(7)